# MEDX LTC PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MEDX LTC PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770216806
- **Authorized official:** IMAD MOURAD (RPH/OWNER)
- **Authorized official phone:** (419) 214-9066

## Contact information

- **Practice address:** 3021 NAVARRE AVE, SUITE A, OREGON, OH 43616
- **Practice address phone:** (419) 214-9066
- **Mailing address:** 3021 NAVARRE AVE, SUITE A, OREGON, OH 43616
- **Mailing address phone:** (419) 214-9066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/06/2022
- **Last updated:** 07/06/2022